Voila! & Eliza B
Custom Order Form
For Rubber Sole or
Leather Sole Sandals
Ribbon Color Chart
Circle Color Box
Shop Name_________________________________

Address____________________________________

City, State, Zip_______________________________

Phone No.__________________________________

Customer Name or Invoice No.____________________


Belt Design
Description_________________________________
Eliza B’s require 36 inch stitched belt for one pair of sandals.

Shoe Size (use chart on reverse)___________________
Eliza B’s run small. If you normally wear Size 7, you will
need Size 8.

Please check the appropriate box:

  Rubber Sole
(If you check rubber sole, please select Sole Color and Sole
Height)

Sole Color                Almond                                Black

Sole Height             Standard                            Wedge


 Leather Sole
(The leather sole comes only in natural with a flat heel)



Ribbon Color Name____________________________
(as chosen from Ribbon Color Chart)